Market Access, Payer Regional Account Manager (Remote- East Coast)

Job Description Summary:

The Market Access, Payer Regional Account Manager is a field-based position that is responsible for gaining and maintaining broad coverage, access and reimbursement for PTC Therapeutics products across key regional commercial and state Medicaid payers. This includes interacting with all levels of regional payers including Pharmacy Directors, Medical Directors, Clinical, Quality, and Population Health. RAM’s will collaborate closely with Market Access Leadership, Sales, Marketing, Patient Services, Medical Affairs, Insights and Analytics and working closely with other cross-functional members of the commercial team. The Market Access, Regional Account Manager serves as the lead contact for payer-related account management, clinical and business activities.
The incumbent works cross-functionally with internal departments and external resources on
regional accounts and access related issues.
The Market Access, Payer Regional Account Manager ensures the adherence to relevant regulatory requirements and company Standard Operating Procedures (SOPs) as appropriateJob Description:

Responsibilities:

• Develop and maintain deep understanding of PTC Therapeutics product disease state, clinical data, commercialization strategy and further customer engagement by providing deep insights/expertise around the disease continuum and customer insight on trends, market conditions and changes in formulary/medical policies.
• Serves as the internal expert and primary point of contact on all payer related issues within the assigned region(s); ensures relevant and timely payer coverage information is communicated to appropriate internal and external stakeholders; provides input and feedback regarding contracting strategies and ensures that all contracting governance requirements are met.
• Develop relationships with key pharmacy and medical management decision makers within key regional accounts.
• Develop and execute Business Plans in coordination with cross-functional leaders (Sales, Medical Affairs, Marketing, Market Access and Patient Services).
• Leverage and champion core market access resources and sales planning tools.
• Support Medical/Patient Engagement/Marketing teams interactions with customers to include consultation and collaboration with stakeholders across the organization to develop patient-centric solutions and relationship-building with peers.
• Support the National Account Directors to develop and communicate clear and effective pull-through initiatives that will drive successful results through collaboration with Sales in alignment with the Regional Business Directors.
• Collaborate and consult with functional PTC Therapeutics team leaders to optimize business performance and/or manage complex business risks and issues.
• Engage with PTC Cares Services team to foster shared and timely communications regarding coverage challenges and/or market trends.
• Collaborate with the Specialty Pharmacy distribution network and works closely with Sales/Market Access teams to implement the distribution strategy for SP’s.
• Review formulary access/coverage continuously to be disseminated to key internal team members.
• Conduct business with the highest compliance and integrity standards and in compliance with all applicable local, state and federal laws.
• Performs other tasks and assignments as needed and specified by management. 

KNOWLEDGE/SKILLS/ABILITIES REQUIRED

• Bachelor’s degree in a related business discipline and a minimum of 8+ years of demonstrated success with account management across commercial and government payers. 
• Extensive experience of the US payer environment, payer market dynamics, payer marketing principles, and the market access decision-making process.
• Extensive customer relationships with regional plan pharmacy and medical directors.
• Working knowledge of Health Insurance Portability and Accountability Act (HIPAA) and the pharmaceutical reimbursement process and insurance coverage.
• Ability to influence without direct authority and anticipate issues and respond quickly, flexibly and creatively to solve problems and address commercial market challenges.
• Strong understanding of the National and regional health plans. Knowledge of US market access, reimbursement, and pricing landscape for pharmaceutical products. Including a strong knowledge of and working relationships with Commercial, Medicare and Medicaid plans and other government, and specialty segments.
• Experience with pharmaceutical marketing principles and practices, including a demonstrated ability to develop strategic plans, conduct and interpret market research, and understand the regulatory environment, monitor healthcare system changes, market trends and dynamics, regional payers' environment, and decision-making process.
• Experience negotiating contracts with large PBMs and/or National and regional payers and state Medicaid plans.
• Experience developing and executing payer pull-through strategies for national or regional payers while collaborating with field sales, sales leadership, medical, marketing, patient services and trade and distribution.
• Well established relationships with regional payers and state Medicaid plans.
• Rare Disease experience preferred.
• Proven track record of consistently meeting or exceeding quantitative and qualitative targets.
• Ability to work independently and collaboratively, in a fast-paced team environment consisting of internal and external team members.
• Excellent written, organizational, and verbal communication skills are necessary.
• Proficient in MS Office products including PowerPoint, Word, Outlook, and Excel.

*Special knowledge or skills and/or licenses or certificates preferred.

• Experience supporting the commercialization of an orphan, rare disease and/or specialized drug(s).
• Experience working in a small but fast growing, entrepreneurial sales environment. 
• Systemic understanding of financing and delivery of healthcare in U.S. In-depth knowledge of orphan disease space and coverage requirements.

Travel requirements:

Travel Requirements will vary by region but are estimated to be between 50-60%

Field Based Position

*Expected Base Salary Range:

$174,500 - $219,671 .The base salary offered will be contingent on assessment of candidate education level, background, and experience relative to the requirements of the position they are being considered for, as well as review of internal equity. In addition to base salary, PTC employees are also eligible for short- and long-term incentives. All eligible employees may also enroll in PTC’s medical, dental, vision, and retirement savings plans.

EEO Statement:

PTC Therapeutics is an equal opportunity employer. We welcome applications from all individuals, regardless of race, color, national origin, gender, age, physical characteristics, social origin, disability, religion, family status, pregnancy, sexual orientation, gender identity, gender expression, disability, veteran status or any unlawful criterion under applicable law. We are committed to treating all applicants fairly and avoiding discrimination.

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